| NPI | 1073801676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2015-02255) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT200077) |
| 207R00000X Internal Medicine (Licence: PA MT200077) | |
| 207P00000X Emergency Medicine (Licence: PA MD451898) | |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2015-11-03 |